Omni Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

207L00000X Issued in HI

Legal business name

OMNI ANESTHESIA LLC

Doing business as

Dan Clark Sole MBR

Practice address

1329 Lusitana St Ste 604
Honolulu, HI 96813-2431

Phone

(808) 531-1116

NPI assigned

Mar 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dan Clark, DO

Title

DO

Phone

(808) 531-1116

Specialties & licenses 1

Addresses

Other names 1

• DAN CLARK SOLE MBR Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1720405509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132431",
            "telephone_number": "808-531-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132431",
            "telephone_number": "808-531-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "808-531-1116",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "207L00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAN CLARK SOLE MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Omalley
• Dee Ann K. Omatsu, P.N.P.
• Jase Omizo, MD
• Michael M Omizo, PHD
• Reese Kazuo Omizo, M.D.
• Omnicare Medical Clinic,Inc
• William Addison Wry Omohundro
• Masayo Omori, SLP
• Sean H. Omori, M.D.
• Omura & Inouye, D.D.S., Inc.

• Anesthesiology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Anesthesiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.